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AVITA PHARMACY 1044
CH048190 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Subdivision Name
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
Type
HRSA-Funded Health Center
340B ID
CH048190
Entity Address
110 Walker Ave NE
Huntsville, AL 35801-4739
Grant Number
H80CS00105
Participating Start Date
12/1/1992
Last Recertification Date
2/17/2025
Pharmacy Details
Pharmacy Name
AVITA PHARMACY 1044
Pharmacy Address
AVITA DRUGS ALABAMA LLC D/B/A AVITA PHAR
3220 5TH AVE S STE 110
BIRMINGHAM, AL 35222-2309
Pharmacy Comments
Contract Details
Approval Date
1/15/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
2/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Carleton H. A. Pyfrom, CEO
(256) 534-8659
Contract Pharmacy Representative
AVITA Pharmacy
JERRY PURCEL, Executive VP
(504) 905-4587
Signed By Date
1/15/2020
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